- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated… more
- Zurich NA (Providence, RI)
- …this position. This is a highly technical and market-facing position. Experience with Casualty lines of business is needed for this role. As a member of Zurich's ... adhere to any COVID-related health and safety protocols in place at that time ( https://www.zurichna.com/careers/faq ). A future with Zurich. What can go right when… more
- Bristol Myers Squibb (Providence, RI)
- …interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms ... engaging treating physicians in the community, facilitated by their commercial counterpart, TAS (Therapeutic Area Specialist), to answer unsolicited off-label… more
- Prime Therapeutics (Providence, RI)
- …Qualifications** + Knowledge of, or experience with Medicare Part D, Medicaid, Commercial or HIM lines of business + Experience related to, or within ... RxClaims in Clinical Operations) + Ability to meet tight time frames and work under pressure + Ability to...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- Prime Therapeutics (Providence, RI)
- …assigned accounts. Directly responsible for managing strategic accounts across various lines of business (Managed Medicaid; Commercial ; Medicare; Exchange) under ... and ad hoc reports are provided accurately and on time . + Supports the State Drug Utilization Review Boards...Develops and maintains client specific prior authorization criteria as part of the Pharmacy and Therapeutics process. + For… more
- Travelers Insurance Company (Providence, RI)
- …and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible ... and brokers. + Design, communicate and train claim professionals on our multi- line customer claim expectations as defined in our Special Account Instructions.… more
- Ford Motor Company (Providence, RI)
- …up our sleeves and build a better world -- together. At Ford, we're all a part of something bigger than ourselves. Are you ready to change the way the world moves? ... e and Ford Pro. These products and services allow Ford's retail and commercial customers to customize their vehicles like never before with OTA (over-the-air)-driven… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... objectives (eg Bold Goal) and community relations as directed. **This is a full time work from home opportunity. Candidates may live anywhere in the US, but must… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity ... managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated… more